Frank J. Kniffen, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036064175 Issued in IL

Practice address

6701 159TH St
Ingalls Same Day Surgery
Tinley Park, IL 60477-1758

Phone

(708) 429-0220

Fax

(708) 915-7400

NPI assigned

Jul 18, 2005

Last updated

Jun 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Assoc of Northeast Illinois

  • Anesthesiology Physician
  • Tinley Park, IL
  • NPI 1992795892
  Authorized official Same address or phone
• Aegis Ambulatory Anesthesia, LTD

  • Anesthesiology Physician
  • Tinley Park, IL
  • NPI 1104198647
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1124027651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430100",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 159TH ST",
            "address_2": "INGALLS SAME DAY SURGERY",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-429-0220",
            "fax_number": "708-915-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIFFEN",
        "first_name": "FRANK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036064175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirby District 140
• John Kissane, MPT
• Brad Edward Kleine, ATC, NASM-PES
• Tracy Klimek
• Theresa Kniepmann, SLP
• Breanne Marie Knightly, RPH
• Stewart C Knoop Jr., O.D.
• Jennifer P Koch, DMD
• Kimberlee Koehler
• Amy Koenig, RBT

• Anesthesiology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.